Pickens A. Gantt in Charleston - Specialist
Pickens A. Gantt - NPI 1063519445
Pickens A. Gantt is a Specialist in Charleston, . Pickens A. Gantt practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pickens A. Gantt is 1063519445. The last update date is 2015-12-14.
Pickens A. Gantt's current location address is 830 Pennsylvania Ave, Charleston, . You can contact this provider via phone number 3043882863 and fax number 3043882866. The mailing address for Pickens A. Gantt is 830 Pennsylvania Ave, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pickens A. Gantt |
|---|---|
| Address | 830 Pennsylvania Ave, Charleston, |
| Phone Number | 3043882863 |
| Fax Number | 3043882866 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063519445 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2015-12-14 |
Provider Mailing Address Detail
| Address | 830 Pennsylvania Ave |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 25302 |
| Phone Number | 3043882863 |
| Fax Number | 3043882866 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 13100 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3810010685 | WV | -- |
Post Comment/ Review Below
Could you provide the complete address where Pickens A. Gantt is physically located?
The Pickens A. Gantt is situated at the following address: 830 Pennsylvania Ave, Charleston, WV 25302.
Could you please share the complete physical location address where Pickens A. Gantt's facilities are situated?
The facilities of Pickens A. Gantt are physically located at the following address: 830 Pennsylvania Ave, Charleston, WV, 25302.
What is Pickens A. Gantt's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pickens A. Gantt is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date was the 1063519445 assigned to Pickens A. Gantt?
The Pickens A. Gantt was issued its 1063519445 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Pickens A. Gantt receive the assignment of its 1063519445 from the Centers for Medicare & Medicaid Services?
The Pickens A. Gantt was issued its 1063519445 by the Centers for Medicare & Medicaid Services on 2006-09-20.